Frequently Asked Questions

Whats the difference between an ENT, facial plastic surgeon, and a craniomaxillofacial surgeon?

ENTs specialize in head and neck tumor treatment and facial trauma, while maxillofacial surgeons focus on lower facial bone surgery and trauma but rarely treat tumors. Craniofacial surgeons specialize in the entire facial skeleton, especially the skull and forehead; Dr. Deschamps-Braly is trained in both fields, ensuring balanced, harmonious results.

What does an ENT do?

ENTs mainly focus on the ears, nose, and throat, but facial feminization and masculinization surgeries require additional expertise. These procedures need a combination of craniofacial and ENT training to be performed effectively.

Why do you not have surgical students?

We don’t have applicants trained in both craniofacial and maxillofacial surgery with a plastic surgery background to match Dr. Deschamps-Bralys skill level. Achieving his level of expertise requires at least three years of specialized training, and he is highly dedicated to his work, preferring not to delegate it.

What should I consider when choosing a facial plastic surgeon?

The surgeon you paid for should be the surgeon that actually does the work. This should be something youre vigilant about before choosing a plastic surgeon to perform your surgery. Dr. Deschamps-Braly personally does the surgery himself, to ensure the results meet his high-level of standards.

How long is the waitlst for surgery?

A surgeon’s available operating time affects surgery wait times. Dr. Deschamps-Braly has ample hospital time and efficient techniques, allowing him to perform 5–6 surgeries weekly and keep wait times reasonable. Other surgeons may have only 1–2 surgical days per month. Longer wait times do not reflect a surgeon’s experience or quality.

Does wait time coorelate to quality of surgery performed?

Surgery wait times don’t necessarily reflect a surgeon’s experience or workload. While many surgeons receive only 1–2 days of hospital time per month, Dr. Deschamps-Braly has guaranteed hospital time that enables him to perform up to 5–6 surgeries per week.

What do the different doctoral degrees mean?

MD stands for medical doctor. ENT, also known as ORL, is a specialist in ear, nose, and throat. DDS or DMD are dental degrees. OMFS refers to oral maxillofacial surgeons trained in the United States. CF means craniofacial surgeon. CMF, or cranio-maxillofacial surgeon, refers to those trained outside the U.S. with combined craniofacial and maxillofacial training, but CMF surgeons are not plastic surgeons.

What does CMF mean?

CMF is a combined designation indicating training in both craniofacial and maxillofacial surgery. It qualifies a surgeon to operate on the entire skull, including the upper and lower face, enabling them to achieve harmonious results.

Can an oral surgeon shape facial bone structure?

Oral and ENT surgeons typically do not operate in the brain cavity or forehead, so facial bone reshaping is uncommon for them. Proper and safe surgery on facial bones requires training in both maxillofacial and craniofacial surgery to avoid injury to vital facial structures.

What is the history of Facial Feminization surgery?

The first successful facial feminization surgery was in 1982, performed by Douglas Ousterhout, a partner and associate of Dr. Deschamps-Braly. Combining maxillofacial and craniofacial expertise, Ousterhout responded to a patient’s unique request to feminize the forehead in a new way. Over his career, he completed more than 1,600 facial feminization surgeries, evolving the procedure beyond forehead reduction to include the lower face, creating a comprehensive approach for facial harmony.

Is Facial Feminization surgery a big responsibility?

Dr. Deschamps-Braly carries a deep responsibility to both his patients and Dr. Ousterhout when it comes to facial feminization surgery. This intricate and challenging art demands time, dedication, and a true commitment to delivering the results patients deserve.

Can you accomodate for Spanish-speaking patients?

Yes! Dr. Deschamps-Bralys mothers side of the family spoke Spanish while he was growing up, so we are willing and able to accommodate Spanish-speaking patients and have performed surgery on patients from Mexico, Argentina, Peru, Spain, Venezuela, and more.

What are your most popular procedures?

Although we specialize in facial feminization surgery, we also frequently perform rhinoplasty and facelift surgery, both of which Dr. Deschamps-Braly is highly trained and experienced in.

Can hormones feminize my face?

Hormones can provide some facial feminization, but they do not alter the underlying bone structure. To achieve changes to the facial skeleton, facial feminization surgery is necessary.

Can hormones masculinize my face?

Hormones can help you grow facial hair or reduce head hair growth, but they won’t change the underlying facial bone structure. To alter the facial skeleton, facial masculinization surgery is required.

Is the forehead included in facial feminization surgery?

The forehead is a key feature in facial feminization surgery and plays a major role in creating a feminine appearance. Hairline lowering, which reduces the space between the eyebrows and hairline, is an important part of fully feminizing the forehead.

Do you have examples of previous work?

We prioritize patient privacy and keep all cases confidential. However, we do have a selection of past examples available in the office, where we can discuss the procedures performed and how they might relate to your own facial features.